US9580431B2 - Inhibitors of human immunodeficiency virus replication - Google Patents
Inhibitors of human immunodeficiency virus replication Download PDFInfo
- Publication number
- US9580431B2 US9580431B2 US14/772,146 US201414772146A US9580431B2 US 9580431 B2 US9580431 B2 US 9580431B2 US 201414772146 A US201414772146 A US 201414772146A US 9580431 B2 US9580431 B2 US 9580431B2
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- US
- United States
- Prior art keywords
- tert
- butoxy
- methylpyrazolo
- pyrimidin
- acetic acid
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Fee Related
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- MDUBDDJEPKUFOM-SANMLTNESA-N CCOC(=O)[C@@H](OC(C)(C)C)C1=C(N2CCC(C)(O)CC2)N2N=C(C(=O)NCC(=O)CC3=CC=C(F)C=C3)C=C2N=C1C Chemical compound CCOC(=O)[C@@H](OC(C)(C)C)C1=C(N2CCC(C)(O)CC2)N2N=C(C(=O)NCC(=O)CC3=CC=C(F)C=C3)C=C2N=C1C MDUBDDJEPKUFOM-SANMLTNESA-N 0.000 description 1
- BELNEFRZCJOECB-HKBQPEDESA-N CCOC(=O)[C@@H](OC(C)(C)C)C1=C(N2CCC(O)(C3=CC=CC=C3)CC2)N2N=C(C(=O)NCC(=O)CC3=CC=C(F)C=C3)C=C2N=C1C Chemical compound CCOC(=O)[C@@H](OC(C)(C)C)C1=C(N2CCC(O)(C3=CC=CC=C3)CC2)N2N=C(C(=O)NCC(=O)CC3=CC=C(F)C=C3)C=C2N=C1C BELNEFRZCJOECB-HKBQPEDESA-N 0.000 description 1
- STKIFLVAQMXVII-WRHOJIKWSA-N CCOC([C@H](c(c(C)nc1c2)c(C3CCC(C)(C)CC3)[n]1nc2/C(/OC(C(F)(F)F)=O)=N/CC(Cc(cc1)ccc1F)=O)O)=O Chemical compound CCOC([C@H](c(c(C)nc1c2)c(C3CCC(C)(C)CC3)[n]1nc2/C(/OC(C(F)(F)F)=O)=N/CC(Cc(cc1)ccc1F)=O)O)=O STKIFLVAQMXVII-WRHOJIKWSA-N 0.000 description 1
- PGRGPLOMVGTSCU-UHFFFAOYSA-N COC(=O)C(=O)C1=C(N2CCC(C)(C)CC2)N2N=C(Br)C=C2N=C1C Chemical compound COC(=O)C(=O)C1=C(N2CCC(C)(C)CC2)N2N=C(Br)C=C2N=C1C PGRGPLOMVGTSCU-UHFFFAOYSA-N 0.000 description 1
- HHHIDXHRKXFWMC-UHFFFAOYSA-N COC(=O)C(O)C1=C(N2CCC(C)(C)CC2)N2N=C(Br)C=C2N=C1C Chemical compound COC(=O)C(O)C1=C(N2CCC(C)(C)CC2)N2N=C(Br)C=C2N=C1C HHHIDXHRKXFWMC-UHFFFAOYSA-N 0.000 description 1
- UFCAXWSLZDDDCT-UHFFFAOYSA-N COC(=O)CC1=C(N2CCC(C)(C)CC2)N2N=C(Br)C=C2N=C1C Chemical compound COC(=O)CC1=C(N2CCC(C)(C)CC2)N2N=C(Br)C=C2N=C1C UFCAXWSLZDDDCT-UHFFFAOYSA-N 0.000 description 1
- HHHIDXHRKXFWMC-AWEZNQCLSA-N COC(=O)[C@@H](O)C1=C(N2CCC(C)(C)CC2)N2N=C(Br)C=C2N=C1C Chemical compound COC(=O)[C@@H](O)C1=C(N2CCC(C)(C)CC2)N2N=C(Br)C=C2N=C1C HHHIDXHRKXFWMC-AWEZNQCLSA-N 0.000 description 1
- NMHNKXAJWMGCOA-KRWDZBQOSA-N COC(=O)[C@@H](OC(C)(C)C)C1=C(N2CCC(C)(C)CC2)N2N=C(Br)C=C2N=C1C Chemical compound COC(=O)[C@@H](OC(C)(C)C)C1=C(N2CCC(C)(C)CC2)N2N=C(Br)C=C2N=C1C NMHNKXAJWMGCOA-KRWDZBQOSA-N 0.000 description 1
- HACLBXGWTJBDKY-UHFFFAOYSA-N ClC1=NNC=C1CC1=CC=CC=C1 Chemical compound ClC1=NNC=C1CC1=CC=CC=C1 HACLBXGWTJBDKY-UHFFFAOYSA-N 0.000 description 1
- PMLOYQTXZRLCIM-UHFFFAOYSA-N FC1=CC=C(CC2=CC=C(Br)S2)C=C1 Chemical compound FC1=CC=C(CC2=CC=C(Br)S2)C=C1 PMLOYQTXZRLCIM-UHFFFAOYSA-N 0.000 description 1
- JPGWDJBMFWHEPV-UHFFFAOYSA-N NCC(O)CCC1=CC=C(F)C=C1 Chemical compound NCC(O)CCC1=CC=C(F)C=C1 JPGWDJBMFWHEPV-UHFFFAOYSA-N 0.000 description 1
- DLBSGOZFSFUDKO-UHFFFAOYSA-N O=C1NCC(CC2=CC=CC=C2)O1 Chemical compound O=C1NCC(CC2=CC=CC=C2)O1 DLBSGOZFSFUDKO-UHFFFAOYSA-N 0.000 description 1
- GGEVLDKXHPJKKH-UHFFFAOYSA-N O=C1NCCC1OC1=CC=CC=C1 Chemical compound O=C1NCCC1OC1=CC=CC=C1 GGEVLDKXHPJKKH-UHFFFAOYSA-N 0.000 description 1
- OADLQINWSMSGIW-UHFFFAOYSA-N OB(O)C1=CC=C(CC2=CC=C(F)C=C2)S1 Chemical compound OB(O)C1=CC=C(CC2=CC=C(F)C=C2)S1 OADLQINWSMSGIW-UHFFFAOYSA-N 0.000 description 1
- VUHVGKBLWYSVIO-UHFFFAOYSA-N OC(C1=CC=C(F)C=C1)C1=CC=C(Br)S1 Chemical compound OC(C1=CC=C(F)C=C1)C1=CC=C(Br)S1 VUHVGKBLWYSVIO-UHFFFAOYSA-N 0.000 description 1
- LMKGOFDRKIAUPZ-UHFFFAOYSA-N [H]C(=O)C1(C)CCN(C(=O)OC(C)(C)C)CC1 Chemical compound [H]C(=O)C1(C)CCN(C(=O)OC(C)(C)C)CC1 LMKGOFDRKIAUPZ-UHFFFAOYSA-N 0.000 description 1
Classifications
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D487/00—Heterocyclic compounds containing nitrogen atoms as the only ring hetero atoms in the condensed system, not provided for by groups C07D451/00 - C07D477/00
- C07D487/02—Heterocyclic compounds containing nitrogen atoms as the only ring hetero atoms in the condensed system, not provided for by groups C07D451/00 - C07D477/00 in which the condensed system contains two hetero rings
- C07D487/04—Ortho-condensed systems
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/33—Heterocyclic compounds
- A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
- A61K31/495—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
- A61K31/505—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim
- A61K31/519—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim ortho- or peri-condensed with heterocyclic rings
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K45/00—Medicinal preparations containing active ingredients not provided for in groups A61K31/00 - A61K41/00
- A61K45/06—Mixtures of active ingredients without chemical characterisation, e.g. antiphlogistics and cardiaca
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P31/00—Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
- A61P31/12—Antivirals
- A61P31/14—Antivirals for RNA viruses
- A61P31/18—Antivirals for RNA viruses for HIV
Definitions
- the disclosure generally relates to compounds, compositions, and methods for the treatment of human immunodeficiency virus (HIV) infection.
- HIV human immunodeficiency virus
- the disclosure provides novel inhibitors of HIV, pharmaceutical compositions containing such compounds, and methods for using these compounds in the treatment of HIV infection.
- HIV Human immunodeficiency virus
- AIDS acquired immune deficiency syndrome
- Recent statistics indicate that as many as 33.3 million people worldwide are infected with the virus (UNAIDS Report on the Global AIDS Epidemic 2010).
- UNAIDS Report on the Global AIDS Epidemic 2010 In addition to the large number of individuals already infected, the virus continues to spread. Estimates from 1998 point to close to 6 million new infections in that year alone. In the same year there were approximately 2.5 million deaths associated with HIV and AIDS.
- antiviral drugs available to combat the infection. These drugs can be divided into classes based on the viral protein they target or their mode of action. In particular, saquinavir, indinavir, ritonavir, nelfinavir atazanavir darunavir, amprenavir, fosamprenavir, lopinavir and tipranavir are competitive inhibitors of the aspartyl protease expressed by HIV.
- Zidovudine, didanosine, stavudine, lamivudine, zalcitabine, emtricitibine, tenofovir and abacavir are nucleos(t)ide reverse transcriptase inhibitors that behave as substrate mimics to halt viral cDNA synthesis.
- the non-nucleoside reverse transcriptase inhibitors nevirapine, delavirdine, efavirenz and etravirine inhibit the synthesis of viral cDNA via a non-competitive (or uncompetitive) mechanism.
- Enfuvirtide and maraviroc inhibit the entry of the virus into the host cell.
- HIV integrase inhibitor MK-0518, Isentress®
- Isentress® An HIV integrase inhibitor, raltegravir (MK-0518, Isentress®), has also been approved for use in treatment experienced patients, and it is clear that this class of inhibitors is very effective as part of a combination regimen containing HIV inhibitors of different classes.
- the invention provides technical advantages, for example, the compounds are novel and are useful in the treatment of HIV. Additionally, the compounds provide advantages for pharmaceutical uses, for example, with regard to one or more of their mechanism of action, binding, inhibition efficacy, target selectivity, solubility, safety profiles, or bioavailability.
- the invention encompasses compounds of Formula I, including pharmaceutically acceptable salts, their pharmaceutical compositions, and their use in inhibiting HIV integrase and treating those infected with HIV or AIDS.
- One aspect of the invention is a compound of Formula I
- R 1 is pyrrolyl, furanyl, thienyl, pyrazolyl, isoxazolyl, isothiazolyl, imidazolyl, oxazolyl, thiazolyl, triazolyl, oxadiazolyl, thiadiazolyl, indolyl, benzofuranyl, benzothiophenyl, or benzimidazolyl, and is substituted with 0-3 substituents selected from halo, alkyl, haloalkyl, alkenyl, Ar 1 , (Ar 1 )alkyl, and (Ar 1 )O; or R 1 is pyrrolidinonyl, oxazolidinonyl, or imidazolonyl, and is substituted with 0-1 substituents selected from Ar 1 , (Ar 1 )alkyl, and (Ar 1 )O; R 2 is hydrogen, halo, or alkyl; R 3 is azeti
- R 1 is is thienyl, pyrazolyl, imidazolyl, oxazolyl, thiazolyl, oxadiazolyl, indolyl, benzofuranyl, benzothiophenyl, or benzimidazolyl, and is substituted with 0-3 substituents selected from halo, alkyl, haloalkyl, alkenyl, Ar 1 , (Ar 1 )alkyl, and (Ar 1 )O; or R 1 is pyrrolidinonyl, oxazolidinonyl, or imidazolonyl, and is substituted with 0-1 substituents selected from Ar 1 , (Ar 1 )alkyl, and (Ar 1 )O; R 2 is hydrogen, halo, or alkyl; R 3 is piperidinyl substituted with 0-3 substituents selected from halo, alkyl, haloalky
- R 1 is thienyl, pyrazolyl, imidazolyl, oxazolyl, thiazolyl, oxadiazolyl, indolyl, benzofuranyl, benzothiophenyl, or benzimidazolyl, and is substituted with 0-3 substituents selected from halo, alkyl, haloalkyl, alkenyl, Ar 1 , (Ar 1 )alkyl, and (Ar 1 )O.
- Another aspect of the invention is a compound of Formula I where R 1 is pyrrolidinonyl, oxazolidinonyl, or imidazolonyl, and is substituted with 0-1 substituents selected from Ar 1 , (Ar 1 )alkyl, and (Ar 1 )O.
- R 2 is hydrogen.
- R 3 is piperidinyl substituted with 0-3 substituents selected from halo, alkyl, haloalkyl, hydroxyalkyl, alkoxyalkyl, alkenyl, cycloalkyl, hydroxy, alkoxy, haloalkoxy, alkenyloxy, and phenyl.
- Another aspect of the invention is a compound of Formula I where R 3 is cycloalkyl, cycloalkenyl, chromanyl, oxazinyl, or dihydropyranoquinolinyl, and is substituted with 0-3 substituents selected from halo, alkyl, haloalkyl, hydroxyalkyl, alkoxyalkyl, alkenyl, cycloalkyl, hydroxy, alkoxy, haloalkoxy, alkenyloxy, and phenyl.
- R 4 is alkyl.
- variable substituent including R 1 , R 2 , R 3 , R 4 , and Ar 1 can be used independently with the scope of any other instance of a variable substituent.
- Alkyl means a straight or branched alkyl group composed of 1 to 6 carbons.
- Alkenyl means a straight or branched alkyl group composed of 2 to 6 carbons with at least one double bond.
- Alkylene means a straight or branched divalent alkyl group composed of 1 to 6 carbons.
- Alkenylene means a straight or branched divalent alkene group composed of 2 to 6 carbons with at least one double bond.
- Cycloalkyl means a monocyclic ring system composed of 3 to 7 carbons.
- Haldroxyalkyl “alkoxy” and other terms with a substituted alkyl moiety include straight and branched isomers composed of 1 to 6 carbon atoms for the alkyl moiety. “Halo” includes fluoro, chloro, bromo, and iodo. “Halo” includes all halogenated isomers from monohalo substituted to perhalo substituted in substituents defined with halo, for example, “Haloalkyl” and “haloalkoxy”, “halophenyl”, “halophenoxy.” “Aryl” includes carbocyclic and heterocyclic aromatic substituents.
- the invention includes all pharmaceutically acceptable salt forms of the compounds.
- Pharmaceutically acceptable salts are those in which the counter ions do not contribute significantly to the physiological activity or toxicity of the compounds and as such function as pharmacological equivalents. These salts can be made according to common organic techniques employing commercially available reagents. Some anionic salt forms include acetate, acistrate, besylate, bromide, chloride, citrate, fumarate, glucouronate, hydrobromide, hydrochloride, hydroiodide, iodide, lactate, maleate, mesylate, nitrate, pamoate, phosphate, succinate, sulfate, tartrate, tosylate, and xinofoate.
- Some cationic salt forms include ammonium, aluminum, benzathine, bismuth, calcium, choline, diethylamine, diethanolamine, lithium, magnesium, meglumine, 4-phenylcyclohexylamine, piperazine, potassium, sodium, tromethamine, and zinc.
- the invention includes all stereoisomeric forms of the compounds including enantiomers and diastereromers. Methods of making and separating stereoisomers are known in the art.
- the invention includes all tautomeric forms of the compounds.
- the invention includes atropisomers and rotational isomers.
- the invention is intended to include all isotopes of atoms occurring in the present compounds.
- Isotopes include those atoms having the same atomic number but different mass numbers.
- isotopes of hydrogen include deuterium and tritium.
- Isotopes of carbon include 13 C and 14 C.
- Isotopically-labeled compounds of the invention can generally be prepared by conventional techniques known to those skilled in the art or by processes analogous to those described herein, using an appropriate isotopically-labeled reagent in place of the non-labeled reagent otherwise employed. Such compounds may have a variety of potential uses, for example as standards and reagents in determining biological activity. In the case of stable isotopes, such compounds may have the potential to favorably modify biological, pharmacological, or pharmacokinetic properties.
- a recombinant NL-Rluc virus was constructed in which a section of the nef gene from NL4-3 was replaced with the Renilla Luciferase gene.
- the NL-RLuc virus was prepared by co-transfection of two plasmids, pNLRLuc and pVSVenv.
- the pNLRLuc contains the NL-Rluc DNA cloned into pUC18 at the PvuII site, while the pVSVenv contains the gene for VSV G protein linked to an LTR promoter.
- Transfections were performed at a 1:3 ratio of pNLRLuc to pVSVenv in 293T cells using the LipofectAMINE PLUS kit from Invitrogen (Carlsbad, Calif.) according to the manufacturer, and the pseudotype virus generated was titered in MT-2 cells.
- the titrated virus was used to infect MT-2 cells in the presence of compound, and after 5 days of incubation, cells were processed and quantitated for virus growth by the amount of expressed luciferase. This provides a simple and easy method for quantitating the extent of virus growth and consequently, the antiviral activity of test compounds.
- Luciferase was quantitated using the Dual Luciferase kit from Promega (Madison, Wis.).
- Another aspect of the invention is a method for treating HIV infection in a human patient comprising administering a therapeutically effective amount of a compound of Formula I, or a pharmaceutically acceptable salt thereof, with a pharmaceutically acceptable carrier.
- Another aspect of the invention is the use of a compound of formula I in the manufacture of a medicament for the treatment of AIDS or HIV infection.
- Another aspect of the invention is a method for treating HIV infection in a human patient comprising the administration of a therapeutically effective amount of a compound of Formula I, or a pharmaceutically acceptable salt thereof, with a therapeutically effective amount of at least one other agent used for treatment of AIDS or HIV infection selected from the group consisting of nucleoside HIV reverse transcriptase inhibitors, non-nucleoside HIV reverse transcriptase inhibitors, HIV protease inhibitors, HIV fusion inhibitors, HIV attachment inhibitors, CCR5 inhibitors, CXCR4 inhibitors, HIV budding or maturation inhibitors, and HIV integrase inhibitors.
- Another aspect of the invention is a method wherein the agent is a nucleoside HIV reverse transcriptase inhibitor.
- nucleoside HIV reverse transcriptase inhibitor is selected from the group consisting of abacavir, didanosine, emtricitabine, lamivudine, stavudine, tenofovir, zalcitabine, and zidovudine, or a pharmaceutically acceptable salt thereof.
- Another aspect of the invention is a method wherein the agent is a non-nucleoside HIV reverse transcriptase inhibitor.
- Another aspect of the invention is a method wherein the non-nucleoside HIV reverse transcriptase inhibitor is selected from the group consisting of delavirdine, efavirenz, and nevirapine, or a pharmaceutically acceptable thereof.
- Another aspect of the invention is a method wherein the agent is an HIV protease inhibitor.
- HIV protease inhibitor is selected from the group consisting of amprenavir, atazanavir, indinavir, lopinavir, nelfinavir, ritonavir, saquinavir and fosamprenavir, or a pharmaceutically acceptable salt thereof.
- Another aspect of the invention is a method wherein the agent is an HIV fusion inhibitor.
- Another aspect of the invention is a method wherein the HIV fusion inhibitor is enfuvirtide or T-1249, or a pharmaceutically acceptable salt thereof.
- Another aspect of the invention is a method wherein the agent is an HIV attachment inhibitor.
- Another aspect of the invention is a method wherein the agent is a CCR5 inhibitor.
- Another aspect of the invention is a method wherein the CCR5 inhibitor is selected from the group consisting of Sch-C, Sch-D, TAK-220, PRO-140, and UK-427,857, or a pharmaceutically acceptable salt thereof.
- Another aspect of the invention is a method wherein the agent is a CXCR4 inhibitor.
- Another aspect of the invention is a method wherein the CXCR4 inhibitor is AMD-3100, or a pharmaceutically acceptable salt thereof.
- Another aspect of the invention is a method wherein the agent is an HIV budding or maturation inhibitor.
- Another aspect of the invention is a method wherein the budding or maturation inhibitor is PA-457, or a pharmaceutically acceptable salt thereof.
- Another aspect of the invention is a method wherein the agent is an HIV integrase inhibitor.
- Another aspect of the invention is a pharmaceutical composition
- a pharmaceutical composition comprising a therapeutically effective amount of a compound of Formula I, or a pharmaceutically acceptable salt thereof, with at least one other agent used for treatment of AIDS or HIV infection selected from the group consisting of nucleoside HIV reverse transcriptase inhibitors, non-nucleoside HIV reverse transcriptase inhibitors, HIV protease inhibitors, HIV fusion inhibitors, HIV attachment inhibitors, CCR5 inhibitors, CXCR4 inhibitors, HIV budding or maturation inhibitors, and HIV integrase inhibitors, and a pharmaceutically acceptable carrier.
- at least one other agent used for treatment of AIDS or HIV infection selected from the group consisting of nucleoside HIV reverse transcriptase inhibitors, non-nucleoside HIV reverse transcriptase inhibitors, HIV protease inhibitors, HIV fusion inhibitors, HIV attachment inhibitors, CCR5 inhibitors, CXCR4 inhibitors, HIV budding or maturation inhibitors, and HIV integrase inhibitors,
- composition wherein the agent is a nucleoside HIV reverse transcriptase inhibitor.
- nucleoside HIV transcriptase inhibitor is selected from the group consisting of abacavir, didanosine, emtricitabine, lamivudine, stavudine, tenofovir, zalcitabine, and zidovudine, or a pharmaceutically acceptable salt thereof.
- composition wherein the agent is a non-nucleoside HIV reverse transcriptase inhibitor.
- composition wherein the non-nucleoside HIV reverse transcriptase inhibitor is selected from the group consisting of delavirdine, efavirenz, and nevirapine, or a pharmaceutically acceptable salt thereof.
- composition wherein the agent is an HIV protease inhibitor.
- composition wherein the HIV protease inhibitor is selected from the group consisting of amprenavir, atazanavir, indinavir, lopinavir, nelfinavir, ritonavir, saquinavir and fosamprenavir, or a pharmaceutically acceptable salt thereof.
- composition wherein the agent is an HIV fusion inhibitor.
- Another aspect of the invention is the composition method wherein the HIV fusion inhibitor is enfuvirtide or T-1249, or a pharmaceutically acceptable salt thereof.
- composition wherein the agent is an HIV attachment inhibitor.
- composition wherein the agent is a CCR5 inhibitor.
- composition wherein the CCR5 inhibitor is selected from the group consisting of Sch-C, Sch-D, TAK-220, PRO-140, and UK-427,857, or a pharmaceutically acceptable salt thereof.
- Another aspect of the invention is a method wherein the agent is a CXCR4 inhibitor.
- Another aspect of the invention is a method wherein the CXCR4 inhibitor is AMD-3100 or a pharmaceutically acceptable salt thereof.
- composition wherein the agent is an HIV budding or maturation inhibitor.
- composition wherein the budding or maturation inhibitor is PA-457, or a pharmaceutically acceptable salt thereof.
- composition wherein the agent is an HIV integrase inhibitor.
- “Combination,” “coadministration,” “concurrent” and similar terms referring to the administration of a compound of Formula I with at least one anti-HIV agent mean that the components are part of a combination antiretroviral therapy or highly active antiretroviral therapy (HAART) as understood by practitioners in the field of AIDS and HIV infection.
- HAART highly active antiretroviral therapy
- “Therapeutically effective” means the amount of agent required to provide a meaningful patient benefit as understood by practitioners in the field of AIDS and
- HIV infection In general, the goals of treatment are suppression of viral load, restoration and preservation of immunologic function, improved quality of life, and reduction of HIV-related morbidity and mortality.
- Patient means a person infected with the HIV virus and suitable for therapy as understood by practitioners in the field of AIDS and HIV infection.
- Treatment “Treatment,” “therapy,” “regimen,” “HIV infection,” “ARC,” “AIDS” and related terms are used as understood by practitioners in the field of AIDS and HIV infection.
- compositions comprised of a therapeutically effective amount of a compound of Formula I or its pharmaceutically acceptable salt and a pharmaceutically acceptable carrier and may contain conventional excipients.
- a therapeutically effective amount is that which is needed to provide a meaningful patient benefit.
- Pharmaceutically acceptable carriers are those conventionally known carriers having acceptable safety profiles.
- Compositions encompass all common solid and liquid forms including capsules, tablets, losenges, and powders as well as liquid suspensions, syrups, elixers, and solutions. Compositions are made using common formulation techniques, and conventional excipients (such as binding and wetting agents) and vehicles (such as water and alcohols) are generally used for compositions. See, for example, Remington's Pharmaceutical Sciences , 17th edition, Mack Publishing Company, Easton, Pa. (1985).
- Solid compositions are normally formulated in dosage units and compositions providing from about 1 to 1000 mg of the active ingredient per dose are preferred. Some examples of dosages are 1 mg, 10 mg, 100 mg, 250 mg, 500 mg, and 1000 mg. Generally, other antiretroviral agents will be present in a unit range similar to agents of that class used clinically. Typically, this is 0.25-1000 mg/unit.
- Liquid compositions are usually in dosage unit ranges. Generally, the liquid composition will be in a unit dosage range of 1-100 mg/mL. Some examples of dosages are 1 mg/mL, 10 mg/mL, 25 mg/mL, 50 mg/mL, and 100 mg/mL. Generally, other antiretroviral agents will be present in a unit range similar to agents of that class used clinically. Typically, this is 1-100 mg/mL.
- the invention encompasses all conventional modes of administration; oral and parenteral methods are preferred.
- the dosing regimen will be similar to other antiretroviral agents used clinically.
- the daily dose will be 1-100 mg/kg body weight daily.
- more compound is required orally and less parenterally.
- the specific dosing regime will be determined by a physician using sound medical judgement.
- the invention also encompasses methods where the compound is given in combination therapy. That is, the compound can be used in conjunction with, but separately from, other agents useful in treating AIDS and HIV infection. Some of these agents include HIV attachment inhibitors, CCR5 inhibitors, CXCR4 inhibitors, HIV cell fusion inhibitors, HIV integrase inhibitors, HIV nucleoside reverse transcriptase inhibitors, HIV non-nucleoside reverse transcriptase inhibitors, HIV protease inhibitors, budding and maturation inhibitors, immunomodulators, and anti-infectives.
- the compound of Formula I will generally be given in a daily dose of 1-100 mg/kg body weight daily in conjunction with other agents.
- the other agents generally will be given in the amounts used therapeutically. The specific dosing regime, however, will be determined by a physician using sound medical judgement.
- the compounds of this invention can be made by various methods known in the art including those of the following schemes and in the specific embodiments section.
- the structure numbering and variable numbering shown in the synthetic schemes are distinct from, and should not be confused with, the structure or variable numbering in the claims or the rest of the specification.
- the variables in the schemes are meant only to illustrate how to make some of the compounds of this invention.
- the disclosure is not limited to the foregoing illustrative examples and the examples should be considered in all respects as illustrative and not restrictive, reference being made to the appended claims, rather than to the foregoing examples, and all changes which come within the meaning and range of equivalency of the claims are therefore intended to be embraced.
- Intermediates I-3 can be prepared by procedure well known in the art or as set forth in the examples below using compound I-1 and compound I-2. Intermediates I-3 are conveniently transformed to intermediates I-5 via intermediates I-4 using conditions well-known to those skilled in the art. Intermediates I-5 are oxidized to intermediates I-6 by reactions well-known in the art, including but not limited to Davis oxidation. Intermediates I-6 are oxidized to intermediates I-7 by a well-known conditions, including but not limited to Dess-Martin oxidation.
- Intermediates I-7 are reduced to chiral intermediates I-8 using well-known conditions in the presence of catalytic chiral ligands.
- Intermediates I-8 are converted to the intermediates I-9 by well-known conditions, including but not limited to tertiary-butyl acetate and perchloric acid.
- Intermediates I-9 are conveniently transformed to intermediates I-10 using conditions well-known in the art, including but not limited to the Suzuki coupling between intermediates I-9 and R 4 —B(OR) 2 .
- the boronate or boronic acid coupling reagents are commercially available or are prepared by reactions well-known to those skilled in the art (PCT Appln. WO20090662285).
- the diester intermediates I-10 are regioselectively converted to monocaboxylic acid intermediates I-11 by methods well-known in the art.
- Intermediates I-11 are conveniently converted to intermediates I-12 by conditions well-known to those skilled in the art, including but not limited to HATU and appropriate base followed by cyclization under acidic conditions.
- the intermediates I-12 were transformed to final compounds I-13 by conditions well known in the literature.
- the intermediates I-12 could also be transformed to final compound I-13 by alkylation using conditions well to those skilled in art followed by hydrolysis.
- the title compound was prepared by the known procedure as described in the reference WO 2009062285.
- Tetrakis(triphenylphosphine)palladium(0) (0.744 g, 0.644 mmol) was then added and the reaction was flushed with N 2 for another 15 min. The mixture was then heated at 100° C. for 16 h. At this point LCMS indicated completion of reaction and appearance of desired product. After cooling to rt, water was added (50 mL) and the mixture was extracted with ether (2 ⁇ 200 mL). The organic phase was washed with brine (100 mL), dried (Na 2 SO 4 ), filtered and concentrated in vacuo.
- tetrakis(triphenylphosphine)palladium(0) 49.6 mg, 0.043 mmol
- the mixture was then heated at 100° C. for 2 h. At this point LCMS indicates completion of reaction and appearance of desired product.
- water was added (10 mL) and the mixture was extracted with ether (2 ⁇ 50 mL), washed with brine (25 mL), dried (Na 2 SO 4 ), filtered and concentrated.
- reaction mixture was diluted with CH 2 Cl 2 (10 mL), carefully quenched with sat. NaHCO 3 (5 mL), organic layer separated and washed with brine (10 mL), dried (Na 2 SO 4 ), filtered and concentrated to give yellow liquid. This was treated with sat. Na 2 CO 3 solution in EtOH (4 mL) at room temp for 30 min (deprotection of trifluoro acetate).
- TMS-CN (2.62 mL, 19.52 mmol) was added dropwise to a mixture of 3-(4-fluorophenyl)propanal (2.7 g, 17.74 mmol) and ZnI 2 (0.283 g, 0.887 mmol) in a dry rounbottom flask and the mixture was stirred at room temp for 1 h.
- the crude cyanohydrin ether was then dissolved in ether (5 mL) and added dropwise to a 2M LiAlH 4 /THF (9.76 mL, 19.52 mmol) in ether (20 mL) and stirred at room temp for 1 h.
- Catecholborane (6.8 mL of a 50% solution in toluene, 28.4 mmol, 1.4 equiv) was then added and temperature was held between ⁇ 15° C. and ⁇ 25° C. for 18 h. At this point, more and (R)-1-methyl-3,3-diphenylhexahydropyrrolo[1,2-c][1,3,2]oxazaborole (4 mL of a 1 M solution in toluene, 4 mmol, 0.2 equiv) and catecholborane (3 mL of a 50% solution in toluene, 12.5 mmol, 0.6 equiv) were added. The reaction was then stirred a further 4 h.
- reaction was then heated to 80° C. for 1 h. Upon completion, reaction was allowed to cool to ambient temperature and partitioned between water and EtOAc. EtOAc layer washed with brine, dried over Na 2 SO 4 , and concentrated in vacuo.
- the crude product was purified by silica gel flash chromatography (0-40% EtOAc/hexane) to provide (S)-methyl 2-(2-(1-benzyl-1H-pyrazol-4-yl)-7-(4,4-dimethylpiperidin-1-yl)-5-methylpyrazolo[1,5-a]pyrimidin-6-yl)-2-(tert-butoxy)acetate.
- Pd(dppf) 2 (8.02 mg, 9.81 ⁇ mol, 0.1 equiv) was added and the reation was heated to 80° C. for 1 h. Upon cooling to ambient temperature, the reaction was diluted with EtOAc and washed with water. The EtOAc layer was dried (Na 2 SO 4 ) and concentrated in vacuo. To the crude product was then added water (0.5 mL), MeOH (0.5 mL), and LiOH monohydrate (123 mg, 2.94 mmol, 30 equiv). The reaction was heated at 60° C. for 2 h.
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| PCT/US2014/022501 WO2014164467A1 (en) | 2013-03-13 | 2014-03-10 | Inhibitors of human immunodeficiency virus replication |
| US14/772,146 US9580431B2 (en) | 2013-03-13 | 2014-03-10 | Inhibitors of human immunodeficiency virus replication |
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| US9193720B2 (en) | 2014-02-20 | 2015-11-24 | Bristol-Myers Squibb Company | Pyridin-3-yl acetic acid derivatives as inhibitors of human immunodeficiency virus replication |
| WO2015174511A1 (ja) | 2014-05-16 | 2015-11-19 | 塩野義製薬株式会社 | Hiv複製阻害作用を有する3環性複素環誘導体 |
| TWI700284B (zh) | 2015-05-29 | 2020-08-01 | 日商塩野義製藥股份有限公司 | 具有hiv複製抑制作用之含氮3環性衍生物 |
| JP2018520162A (ja) | 2015-07-06 | 2018-07-26 | ヴィーブ ヘルスケア ユーケー(ナンバー5)リミテッド | ヒト免疫不全ウイルス複製の阻害剤としてのピリジン−3−イル酢酸誘導体 |
| JP2018519348A (ja) | 2015-07-08 | 2018-07-19 | ヴィーブ ヘルスケア ユーケー(ナンバー5)リミテッド | ヒト免疫不全ウイルス複製の阻害剤としてのピリジン−3−イル酢酸誘導体 |
| EP3319954A1 (en) | 2015-07-09 | 2018-05-16 | VIIV Healthcare UK (No.5) Limited | Pyridin-3-yl acetic acid derivatives as inhibitors of human immunodeficiency virus replication |
| KR20180025916A (ko) | 2015-07-09 | 2018-03-09 | 비브 헬스케어 유케이 (넘버5) 리미티드 | 인간 면역결핍 바이러스 복제의 억제제로서의 피리딘-3-일 아세트산 유도체 |
| CA2994512A1 (en) | 2015-08-07 | 2017-02-16 | VIIV Healthcare UK (No.5) Limited | Pyridin-3-yl acetic acid derivatives as inhibitors of human immunodeficiency virus replication |
| EP3334741A1 (en) | 2015-08-10 | 2018-06-20 | VIIV Healthcare UK (No.5) Limited | Imidazopyridine macrocycles as inhibitors of human immunodeficiency virus replication |
| AR105653A1 (es) | 2015-08-11 | 2017-10-25 | VIIV HEALTHCARE UK (Nº 5) LTD | Derivados del ácido 5-(n-bencil-tetrahidroisoquinolin-6-il)-piridin-3-il acético como inhibidores de la replicación del virus de la inmunodeficiencia humana |
| CN108137552A (zh) | 2015-08-12 | 2018-06-08 | Viiv保健英国第五有限公司 | 作为人免疫缺陷病毒复制的抑制剂的5-(n-稠合三环芳基四氢异喹啉-6-基)吡啶-3-基乙酸衍生物 |
| EP3334723B1 (en) | 2015-08-12 | 2019-09-18 | VIIV Healthcare UK (No.5) Limited | 5-(n-[6,5]-fused bicyclic aryl tetrahydroisoquinolin-6-yl) pyridin-3-yl acetic acid derivatives as inhibitors of human immunodeficiency virus replication |
| TW201718537A (zh) | 2015-08-12 | 2017-06-01 | Viiv醫療保健英國(No.5)有限公司 | 做為人類免疫缺陷病毒複製抑制劑之吡啶-3-基乙酸衍生物 |
| CN108368093A (zh) | 2015-08-20 | 2018-08-03 | Viiv保健英国第五有限公司 | 作为人免疫缺陷病毒复制的抑制剂的吡啶-3-基乙酸衍生物 |
| US20200325127A1 (en) | 2016-05-11 | 2020-10-15 | VIIV Healthcare UK (No.5) Limited | Pyridin-3-yl acetic acid derivatives as inhibitors of human immunodeficiency virus replication |
| WO2017195111A1 (en) | 2016-05-11 | 2017-11-16 | VIIV Healthcare UK (No.5) Limited | Pyridin-3-yl acetic acid derivatives as inhibitors of human immunodeficiency virus replication |
| EP3455215A1 (en) | 2016-05-11 | 2019-03-20 | ViiV Healthcare UK (No.5) Limited | Pyridin-3-yl acetic acid derivatives as inhibitors of human immunodeficiency virus replication |
| JP2020503352A (ja) | 2017-01-03 | 2020-01-30 | ヴィーブ ヘルスケア ユーケー(ナンバー5)リミテッド | ヒト免疫不全ウイルス複製の阻害剤としてのピリジン−3−イル酢酸誘導体 |
| TW201835068A (zh) | 2017-01-03 | 2018-10-01 | 英商Viiv醫療保健英國(No.5)有限公司 | 作為人類免疫缺乏病毒複製之抑制劑之吡啶-3-基乙酸衍生物 |
| US10234220B2 (en) * | 2017-04-14 | 2019-03-19 | Kent J. Myers | Detachable box magazine with follower retraction member |
| UY38051A (es) * | 2018-01-17 | 2019-08-30 | Glaxosmithkline Ip Dev Ltd | INHIBIDORES DE LA PI4KIIIß |
| WO2019244066A2 (en) | 2018-06-19 | 2019-12-26 | VIIV Healthcare UK (No.5) Limited | Pyridin-3-yl acetic acid derivatives as inhibitors of human immunodeficiency virus replication |
| WO2020003093A1 (en) | 2018-06-25 | 2020-01-02 | VIIV Healthcare UK (No.5) Limited | Pyridin-3-yl acetic acid derivatives as inhibitors of human immunodeficiency virus replication |
| US20220380341A1 (en) * | 2018-10-18 | 2022-12-01 | University Of Pittsburgh - Of The Commonwealth System Of Higher Education | Inhibitors of hiv-1 nef for the treatment of hiv disease |
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| US8633200B2 (en) * | 2010-09-08 | 2014-01-21 | Bristol-Myers Squibb Company | Inhibitors of human immunodeficiency virus replication |
| US8791108B2 (en) * | 2011-08-18 | 2014-07-29 | Bristol-Myers Squibb Company | Inhibitors of human immunodeficiency virus replication |
| US9034882B2 (en) * | 2012-03-05 | 2015-05-19 | Bristol-Myers Squibb Company | Inhibitors of human immunodeficiency virus replication |
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| YU41100A (sh) | 1998-02-04 | 2002-06-19 | Banyu Pharmaceutical Co. Ltd. | N-acil derivati cikličnih amina |
| US7939545B2 (en) | 2006-05-16 | 2011-05-10 | Boehringer Ingelheim International Gmbh | Inhibitors of human immunodeficiency virus replication |
| PT2054416E (pt) | 2006-08-04 | 2011-04-06 | Merz Pharma Gmbh & Co Kgaa | Pirazolopirimidinas substituídas, um processo para a sua preparação e a sua utilização como medicamento |
| JP5450108B2 (ja) | 2007-03-23 | 2014-03-26 | アレイ バイオファーマ、インコーポレイテッド | グルコキナーゼ活性化剤としての2−アミノピリジン類似体 |
| KR20100108337A (ko) | 2007-11-15 | 2010-10-06 | 베링거 인겔하임 인터내셔날 게엠베하 | 사람 면역결핍 바이러스 복제의 억제제 |
| US8377960B2 (en) | 2007-11-15 | 2013-02-19 | Gilead Sciences, Inc. | Inhibitors of human immunodeficiency virus replication |
| CA2705338A1 (en) | 2007-11-16 | 2009-05-22 | Boehringer Ingelheim International Gmbh | Inhibitors of human immunodeficiency virus replication |
| NZ585226A (en) | 2007-11-16 | 2012-08-31 | Gilead Sciences Inc | Inhibitors of human immunodeficiency virus replication |
| CN101970741B (zh) | 2007-11-23 | 2014-09-03 | 皇家飞利浦电子股份有限公司 | 隔间 |
| GB0908394D0 (en) | 2009-05-15 | 2009-06-24 | Univ Leuven Kath | Novel viral replication inhibitors |
| US8338441B2 (en) | 2009-05-15 | 2012-12-25 | Gilead Sciences, Inc. | Inhibitors of human immunodeficiency virus replication |
| GB0913636D0 (en) | 2009-08-05 | 2009-09-16 | Univ Leuven Kath | Novel viral replication inhibitors |
| NZ604716A (en) | 2010-07-02 | 2014-12-24 | Gilead Sciences Inc | 2-quinolinyl-acetic acid derivatives as hiv antiviral compounds |
| PH12013500011A1 (en) | 2010-07-02 | 2013-02-18 | Gilead Sciences Inc | Napht-2-ylacetic acid derivatives to treat aids |
| CN105330675A (zh) | 2010-11-15 | 2016-02-17 | Viiv保健英国有限公司 | Hiv复制的抑制剂 |
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- 2014-03-10 EP EP14717006.2A patent/EP2970298A1/en active Pending
- 2014-03-10 WO PCT/US2014/022501 patent/WO2014164467A1/en not_active Ceased
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| WO2011076765A1 (en) * | 2009-12-23 | 2011-06-30 | Katholieke Universiteit Leuven | Novel antiviral compounds |
| US8633200B2 (en) * | 2010-09-08 | 2014-01-21 | Bristol-Myers Squibb Company | Inhibitors of human immunodeficiency virus replication |
| WO2012065963A2 (en) | 2010-11-15 | 2012-05-24 | Katholieke Universiteit Leuven | Novel antiviral compounds |
| US8791108B2 (en) * | 2011-08-18 | 2014-07-29 | Bristol-Myers Squibb Company | Inhibitors of human immunodeficiency virus replication |
| US9034882B2 (en) * | 2012-03-05 | 2015-05-19 | Bristol-Myers Squibb Company | Inhibitors of human immunodeficiency virus replication |
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| US20160016960A1 (en) | 2016-01-21 |
| CN105189511A (zh) | 2015-12-23 |
| WO2014164467A1 (en) | 2014-10-09 |
| EP2970298A1 (en) | 2016-01-20 |
| JP2016512511A (ja) | 2016-04-28 |
| CN105189511B (zh) | 2017-05-24 |
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